NPI | 1558928622 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC8746) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: DE 0011264) |
101YP2500X Counselor, Professional (Licence: PA 014586) | |
Enumeration Date | 2019-05-23 |
Last Update Date | 2023-09-03 |